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What are the following steps from now and necessary way of life?
Dear sir,
my father, 73y.o., has suffered MPI suggestive of extensive ischemia in anterolateral and inferior wall, while fuctioning on a single kidney with mild chronic renal failure. The coronary angiography findings are the following:
- LAD: extensive diffuse disease from the proximal segment to mid/distal. Maximal luminal stenosis of about 70% proximally.
- LCx: large vessel with diffuse, tubular disease involving the mid segment at the bifurcation of a large OM2, which also has significant ostial stenosis, while OM1 has significant proximal stenosis.
- RCA: dominant moderate (<50%) lesion proximally. Minor atheroma of PDA.
Impression: Significant, diffuse LAD and LCx disease causing significant ischemia on MPI (SYNTAX score:21, Euroscore II:2,91%)
My question is:
What is 'full surgical revascularization' through CABG (bypass), is this the best way to treat this situation, what are the following steps fromnow and after the recommended surgery and what are the percentages of its success and possible consequences in way of life?
I thank you for your attention and help.
my father, 73y.o., has suffered MPI suggestive of extensive ischemia in anterolateral and inferior wall, while fuctioning on a single kidney with mild chronic renal failure. The coronary angiography findings are the following:
- LAD: extensive diffuse disease from the proximal segment to mid/distal. Maximal luminal stenosis of about 70% proximally.
- LCx: large vessel with diffuse, tubular disease involving the mid segment at the bifurcation of a large OM2, which also has significant ostial stenosis, while OM1 has significant proximal stenosis.
- RCA: dominant moderate (<50%) lesion proximally. Minor atheroma of PDA.
Impression: Significant, diffuse LAD and LCx disease causing significant ischemia on MPI (SYNTAX score:21, Euroscore II:2,91%)
My question is:
What is 'full surgical revascularization' through CABG (bypass), is this the best way to treat this situation, what are the following steps fromnow and after the recommended surgery and what are the percentages of its success and possible consequences in way of life?
I thank you for your attention and help.
MEDICAL PROFESSIONAL
Hello and hope you are doing well.
Good to see your father is doing well after the major surgery. He will take time to recover and as his vitals are stable, you need not worry. The angio done post surgery, will give the exact status of the bypass grafting. Discuss with the consulting doctor regarding this.
Hope this helped and do keep us posted.
Good to see your father is doing well after the major surgery. He will take time to recover and as his vitals are stable, you need not worry. The angio done post surgery, will give the exact status of the bypass grafting. Discuss with the consulting doctor regarding this.
Hope this helped and do keep us posted.
Latest news is that the night before the operation, doctors diagnosed significant problem on the aortic valve of the heart and after an echo check next morning, they decided to go on immediately with the CABG, changing the valve itself and making 2 bypasses (one from chest and one from right foot). The whole operation took around 9 hours, but the feart began working again without any help.
After 3 days, his situation is stable, he feels no pain, but finds difficult to do his breathing and coughing exercises, feeling also tired and sleepy. No problem with kidney, blood pressure 140/60 and pulse 82.
What will be the next steps form now on and is there any danger at this stage?
Thanks for your response.
After 3 days, his situation is stable, he feels no pain, but finds difficult to do his breathing and coughing exercises, feeling also tired and sleepy. No problem with kidney, blood pressure 140/60 and pulse 82.
What will be the next steps form now on and is there any danger at this stage?
Thanks for your response.
MEDICAL PROFESSIONAL
Hello and hope you are doing well.
Management of multivessel disease is usually CABG or coronary artery bypass grafting. An important factor to consider would be ejection fraction. The ejection fraction is a useful measure of left ventricular performance. The normal range is 63-77% for males and 55-75% for females. It reflects the pumping capacity of the heart. Prognosis will depend on the viable myocardium and co morbid conditions like diabetes and in your father's case the status of his kidney functions. Please discuss this with your doctor am sure he will provide further assistance.
Hope this helped and do keep us posted.
Management of multivessel disease is usually CABG or coronary artery bypass grafting. An important factor to consider would be ejection fraction. The ejection fraction is a useful measure of left ventricular performance. The normal range is 63-77% for males and 55-75% for females. It reflects the pumping capacity of the heart. Prognosis will depend on the viable myocardium and co morbid conditions like diabetes and in your father's case the status of his kidney functions. Please discuss this with your doctor am sure he will provide further assistance.
Hope this helped and do keep us posted.
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